| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.05 | $221.05 | $360.93 | |
Anthem BCBS
| Facility | $970.00 | $5,790.87 | $8,700.00 | |
CareSource
| Facility | $213.57 | $277.64 | $320.36 | |
United
| Facility | $2,400.00 | $3,874.00 | $5,490.00 |